Physician
Raleigh Orthopaedic Clinic PA
Raleigh Orthopaedic Clinic PA was paid $32K by Medicaid between Aug 2018 and Mar 2022, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 43% of everything it billed.
33Billing provider infoRALEIGH ORTHOPAEDIC CLINIC PA
RALEIGH, NC 27612
RALEIGH, NC 27612
33aNPI1235137563assigned 07/11/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$32K
24GClaims638
24DCodes billed4
24AFirst – last monthAug 2018 – Mar 2022
Compared with peers
Next to other Orthopaedic Surgery Physician providers in North Carolina
Rank by total paid#23 of 66
Median peer was paid$19K
This provider vs. median1.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 33 | $2K | |
| 2019 | 305 | $18K | |
| 2020 | 98 | $5K | |
| 2021 | 187 | $7K | |
| 2022 | 15 | $144.71 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 43% | 183 | 158 | $14K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 220 | 164 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 220 | 157 | $8K |
| 20610 | <1% | 15 | 12 | $144.71 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBIZUB, BRIAN (CEO)